Organization
LIFELONG MEDICAL CARE
Active
Other names
Berkeley Trust
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT COPEN (CFO)
(610) 918-4122
Entity
Organization
Contact information
Practice address
830 UNIVERSITY AVE, BERKELEY, CA 94710-2044
(916) 749-6192
Mailing address
2344 6TH ST, BERKELEY, CA 94710-2412
(916) 749-6192
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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